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- W2314697386 abstract "Background: Critical care paramedics working alongside physicians in the West Midlands MERIT schemeMedical Emergency Response Incident Team (MERIT) have been shown to demonstrate high levels of proficiency inlaryngoscopy during Rapid Sequence Induction of anaesthesia (RSI). The MERIT SOP does not stipulate the teammember who should be allocated the role of laryngoscopy during RSI. The aim of this study is to analyse andidentify factors that influence role allocation in pre-hospital RSI performed by MERIT scheme personnel in the WestMidlands.Methods: We conducted a retrospective review from 12 months of our mission database for patients who hadundergone pre-hospital RSI performed by MERIT. Data collected included the indication for RSI, the number of intubation attempts (including documented failures to intubate), documentation of predicted difficulty in intubationand the degree of airway soiling prior to RSI. The clinical role of the operator performing laryngoscopy was recordedfor each attempt.Results: 113 cases or pre-hospital RSI were identified. Critical care paramedics successfully intubated 49/58(84.48%) cases in which they were allocated the first attempt at laryngoscopy. Success at first attempt lower forphysicians (76.92%) but greater proportions of such cases involved patients at the extremes of age and heavyairway soiling with a wider range of indications.Conclusions: As part of a multidisciplinary team working alongside physicians, Critical Care Paramedicssuccessfully intubate the majority of patients at the first attempt in carefully selected groups. Further research toinvestigate other factors at scene that influence role allocation and team dynamics in pre-hospital RSI is required." @default.
- W2314697386 created "2016-06-24" @default.
- W2314697386 creator A5062050992 @default.
- W2314697386 date "2015-01-01" @default.
- W2314697386 modified "2023-10-18" @default.
- W2314697386 title "Role Allocation and Team Dynamics during Pre-Hospital Rapid Sequence Induction of Anaesthesia by a Physician-Critical Care Paramedic Team in the United Kingdom: A 12 Months Review of Practice" @default.
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- W2314697386 doi "https://doi.org/10.4172/2155-6148.1000507" @default.
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